Open and Account

• Logistics or 3PL Company
• Carrier, Manufacturer or Distributor

Surety Bond #MC#MC# (if Applicable)DOT# (if Applicable)CVOR# (if applicable)Polaris Transport Carriers (LTL services) *

• Polaris Transport Carriers (LTL services)
• Polaris Global Logistics (3PL services)
• Polaris Commercial Warehousing (Warehousing & Distribution services)

Polaris sales representative/contact name (if known)PIP certified? *

• Yes
• No

Company Name with PIP *CTPAT certified? *

• Yes
• No

Company Name with CTPAT *WSIB/CSST/W-9? *

• Yes
• No

Account Number: *

Agreement

• In submitting this completed Questionnaire, we certify the responses to be true and correct to the best of our knowledge.

Please complete all required * fields

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